MEDCOM

We specialize in improving and protecting hospitals’ net revenue so they have the resources to provide better care to the community. MedCom Solutions operates its business and delivers its core services on a foundation of ethical and appropriate professional conduct. Founded as MedSoft Systems & developed pricing software: Strategic Hospital Pricing (SHP). MedCom developed an adjacent software product, Comprehensive Budget System (CBS), that imports current financial data used to forecast volume, pricing, expenses, and reimbursement for the next fiscal year. Included is the HCFA 2552 Cost Report stepdown workpaper that calculates Medicare reimbursement. MedCom began to provide consulting services for chargemaster management review for CPT codes, revenue codes and general ledger mapping. MedCom developed a Medicare compliance software product that reads Medicare’s 835 Remittance Advice to determine if any outpatients were paid within the 3-day rule. Allegheny General Hospital approached MedCom to develop a Medicare payment audit software product that measures actual cash amounts received by fiscal year and by HCFA-2552 Cost Report reimbursement classification.